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- Title
No evidence for the effectiveness of bracing in patients with thoracolumbar fractures.
- Authors
Giele, Boukje M; Wiertsema, Suzanne H; Beelen, Anita; van der Schaaf, Marike; Lucas, Cees; Been, Henk D; Bramer, Jos A M
- Abstract
Background and purpose The use of braces is widespread in patients with thoracolumbar fractures. The effectiveness of bracing, however, is controversial. We sought evidence for the effect of bracing in patients with traumatic thoracolumbar fractures based on outcome and length of hospital stay (LOS). Furthermore, we evaluated the incidence of complications of bracing. Methods An electronic search strategy with extensive MeSH headings was used in various databases to identify studies that compared bracing and non-bracing therapies. Two reviewers independently selected systematic reviews, randomized controlled trials (RCTs), controlled clinical trials, and observational studies, and both assessed the methodological quality and extracted the data. Results No systematic reviews or RCTs were found. 7 retrospective studies were included. None of these studies showed an effect of bracing. Because of poor methodological quality, no best-evidence synthesis could be performed. One observational study was selected in which a complication of bracing was reported. Interpretation In the present literature, there is no evidence for the effectiveness of bracing in patients with traumatic thoracolumbar fractures. The lack of high-quality studies prevents relevant conclusions from being drawn.
- Subjects
ORTHOPEDIC braces; BONE fractures; BONE injuries; MEDICAL experimentation on humans; MEDICAL research; RANDOMIZED controlled trials; HOSPITALS
- Publication
Acta Orthopaedica, 2009, Vol 80, Issue 2, p226
- ISSN
1745-3674
- Publication type
Article
- DOI
10.3109/17453670902875245